This information is provided free of charge by the Department of Industrial Relations
from its web site at www.dir.ca.gov. These regulations are for the
convenience of the user and no representation or warranty is made that the information
is current or accurate. See full disclaimer at http://www.dir.ca.gov/od_pub/disclaimer.html.

(4) In-person examination means an examination of an injured employee
by a physician which involves more than a review of records, and may include a
physical examination, discussing the employee's medical condition with the employee,
taking a history and performing an examination.

(5) Material familial affiliation means a relationship in which one
of the persons or entities listed in section 9768.2 is the parent, child, grandparent,
grandchild, sibling, uncle, aunt, nephew, niece, spouse, or cohabitant of the
Independent Medical Reviewer.

(6) Material financial affiliation means a financial interest (owns
a legal or equitable interest of more than 1% interest in the party, or a fair
market value in excess of $2000, or relationship of director, advisor, or active
participant) in any person or entity listed in section 9768.2. It also means any
gift or income of more than $300 in the preceding year except for income for services
as a second opinion physician, third opinion physician, treating physician, Agreed
Medical Evaluator, Qualified Medical Evaluator, or Independent Medical Reviewer.

(7) Material professional affiliation means any relationship in which
the Independent Medical Reviewer shares office space with, or works in the same
office of, any person or entity listed in section 9768.2.

(8) Medical emergency means a medical condition manifesting itself
by acute symptoms of sufficient severity such that the absence of immediate medical
attention could reasonably be expected to place the patient's health in serious
jeopardy.

(9) Medical Provider Network Contact (MPN Contact) means
the individual(s) designated by the MPN Applicant in the employee notification
who is responsible for answering employees' questions about the Medical Provider
Network and is responsible for assisting the employee in arranging for an Independent
Medical Review.

(10) Panel means the contracted providers in a specific specialty.

(11) Relevant medical records means all information that was considered
in relation to the disputed treatment or diagnostic service, including: (A) a
copy of all correspondence from, and received by, any treating physician who provided
a treatment or diagnostic service to the injured employee in connection with the
injury; (B) a complete and legible copy of all medical records and other information
used by the physicians in making a decision regarding the disputed treatment or
diagnostic service; (C) the treating physician's report with the disputed treatment
or diagnosis; and (D) the second and third opinion physicians' reports.

1. New article 3.6 (sections 9768.1-9768.17) and section filed 12-31-2004 as an
emergency; operative 1-1-2005 (Register 2004, No. 53). A Certificate of Compliance
must be transmitted to OAL by 5-2-2005 or emergency language will be repealed
by operation of law on the following day.

2. Certificate of Compliance as to 12-31-2004 order, including amendment of
section, transmitted to OAL 4-29-2005 and filed 6-10-2005 (Register 2005, No.
23).